Feedback and Complaint form

Thank you for taking the time to fill in our staff feedback form. We value your input to ensure we are making the right decisions and giving the best support for our clients and families.

Today's date:

Your name:

Client Name

Contact Number:

Practitioners Name *

I am a:

Do you require any help with communication or any other form of support filling in this form? e.g., interpreter

Please provide any further details of your feedback/complaint:

I agree that the information included in this Feedback and Complaints form is true and correct.

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How to make a complaint to the NDIS Commission

For NDIS clients in NSW, SA, the ACT, NT, Qld, Vic or Tasmania, a complaint can be made to the NDIS commission by:

Phoning 1800 035 544 or TTY 133 677. Interpreters can be arranged
National Relay Service and ask for 1800 035 544
Visiting http://https://www.ndiscommission.gov.au/about/complaints

The NDIS Commission can take complaints about

services and supports that were not providec in a safe and respectful way.
services and supports that were not delivered to an appropriate standard.

The NDIS Complaints Management Resolution Guidance provides more detailed information about the NDIS Commissions Complaints process.

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